Joshi Pragnesh, Thakur Sameer, Finn Christopher, Sadlier Paul
St. John of God Hospital, Subiaco, WA, Australia.
Sir Charles Gairdner Hospital, Nedlands, WA, Australia.
J Heart Valve Dis. 2017 Nov;26(6):744-746.
The case described here is the first reported case of successful isolated aortic valve replacement (AVR) via a right anterior thoracotomy (RAT) in a patient with osteogenesis imperfecta (OI). The most common reported complication in patients with OI undergoing AVR or other cardiac surgery is bleeding and sternal complications. By using a RAT approach, it was possible to replace the aortic valve without major bleeding, transfusion, or sternal complications.
本文所述病例是首例报道的通过右前开胸术（RAT）成功为成骨不全（OI）患者进行孤立性主动脉瓣置换术（AVR）的病例。接受AVR或其他心脏手术的OI患者中，最常见的报道并发症是出血和胸骨相关并发症。通过采用RAT入路，有可能在不发生大出血、输血或胸骨相关并发症的情况下置换主动脉瓣。
